Nearly a century has passed since Schlatter(1) carried out the first s
uccessful total gastrectomy and antecolic end-to-side oesophagojejunos
tomy in 1897 in Zurich. Actually, fourteen years before, Connect attem
pted a total gastrectomy, but his patient died on the operating table.
From the first success, a large number of different procedures have p
opulated the worldwide Literature, with a lot of papers reporting 'ori
ginal' techniques or data about the functional outcome.